Tolerance Study of Robotic-Assisted Virtual Reality Walking Rehabilitation for Non-Walking Stroke Patients
University Hospital, Limoges
30 participants
Nov 20, 2023
INTERVENTIONAL
Conditions
Summary
The primary objective of this study is to evaluate the tolerance of the use of immersive virtual reality (VR) during robotic walking rehabilitation sessions by Gait Trainer (GT) in post-stroke patients. Secondary objectives aim to evaluate the motivation to participate in VR sessions compared to conventional sessions, the participants' sense of presence within the virtual environment, and the usability of the rehabilitation device created. Finally, we will report the actual walking time and number of steps stroke patients take in VR sessions and conventional sessions.
Eligibility
Inclusion Criteria7
- Hemiparesis following a first ischemic or hemorrhagic stroke;
- subacute phase (15 days to 6 months);
- Aged 35 to 75 years;
- Non-walking subject (unable to walk 3 x 10 meters without human assistance or Functional Ambulation Classification ≤ 2);
- Benefiting from robot-assisted walking rehabilitation in the readaptation and physical medecin department of the Limoges University Hospital;
- Having the cognitive abilities to understand and follow simple verbal instructions (MMSE < 24 or BDAE < 2)
- Be able to give informed consent to participate in this study.
Exclusion Criteria8
- Have neurological and psychiatric conditions, other than stroke;
- Conditions contraindicating the use of virtual reality (e.g., epileptic disorders, major cerebellar syndrome).
- Inability to evolve in a virtual environment (MSSQ-Short > 26)
- Patient with acute cardiovascular and respiratory disorders;
- Patient who is subject to a legal protection measure or who is unable to give consent;
- Person deprived of liberty
- Person with high VR experience during the 5 years before stroke
- pregnant woman, breastfeeding woman
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Interventions
Realization of Gait Trainer-assisted robot walking rehabilitation sessions without and with the addition of an immersive VR device. The proposed virtual stage will be a natural space (i.e. forest) of 360°. The subject will be able to explore the environment without moving. The created scene represents a straight path crossing a landscape composed of different natural elements. A fluid movement is obtained with the help of two sensors (trackers) of the HTC Vive device, placed at the level of the subject's feet. Moreover, thanks to these sensors the individual has a virtual representation of his lower limbs. Post-stroke patients will perform 3 conventional sessions (Gait Trainer alone) and 3 sessions with the immersive VR device (Gait Trainer + VR).
Locations(1)
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NCT06053619